DOI QR코드

DOI QR Code

간호과정 적용 평가도구 개발 -입원 및 퇴원 시 간호를 중심으로-

Development of Performance Measures Based on Nursing Process for Admission and Discharge Care

  • 김금순 (서울대학교 간호대학, 서울대학교 간호과학연구소) ;
  • 김진아 (한국보건산업진흥원) ;
  • 최윤경 (건강보험심사평가원) ;
  • 김은만 (선문대학교 간호학과) ;
  • 김유정 (서울대학교병원 QA팀) ;
  • 김미애 (건국대학교병원 병동 간호팀) ;
  • 김경옥 (서울아산병원 간호본부) ;
  • 김을순 (병원간호사회 사무처)
  • Kim, Keum Soon (College of Nursing, Seoul National University, The Research Institute of Nursing Science) ;
  • Kim, Jin A (Korea Health Industry Development Institute) ;
  • Choi, Yun Kyoung (Health Insurance Review & Assessment Service) ;
  • Kim, Eun Man (Department of Nursing Science, Sunmoon University) ;
  • Kim, Yu Jeong (Quality Assurance Team, Seoul National University Hospital) ;
  • Kim, Mi Ae (Department of Nursing, Konkuk University Hospital) ;
  • Kim, Kyoung Ok (Department of Nursing, Asan Medical Center) ;
  • Kim, Eul Soon (Hospital Nurses Association)
  • 투고 : 2011.05.31
  • 심사 : 2011.07.01
  • 발행 : 2011.08.31

초록

Purpose: This study was conducted to develop standards ensuring nursing process-based care of patient admission and discharge, to develop a performance measurement tool evaluating the care applied according to the standards, and finally to determine validity of the standards and the tool. Methods: The standards and the tool were reviewed by a panel of experts and refined based on the panel's suggestions. Validity of the standards and the tool were examined through surveying a total of 302 hospital nurses. Results: The mean validity scores of the performance measurement standards and the tool were 4.11 and 4.09, respectively, out of 5.00. So the performance measurement standards and the tool in this study were found to be acceptable in evaluating quality of nursing care provided at patient admission and discharge. Conclusion: This result indicates that the performance measurement standards and the tool developed in this study are valid instruments to monitor and improve quality of nursing care for patient admission and discharge.

키워드

과제정보

연구 과제 주관 기관 : 병원간호사회

참고문헌

  1. 국민건강보험공단, 건강보험심사평가원(2010. 12. 9). 2009 건강보험통계연보. 2011. 7. 15. http://www.nhic.or.kr/portal/ site/main/menuitem.33f399436ee39a404bf15151062310a0 에서 인출
  2. 김금순, 김진아, 김문숙, 김유정, 김을순, 박광옥 등(2009). 욕창, 낙 상예방 및 통증간호의 간호과정 적용 평가도구 개발. 임상간호연구, 15 (1), 133-147.
  3. 병원간호사회(2006). 병원간호표준. 서울: 저자.
  4. 보건복지부, 한국보건산업진흥원(2007). 2007 의료기관 평가 지침서. 서울: 저자.
  5. American Nurses Credentialing Center. (2004). The magnet recognition program application manual 2005. Silver Spring, MD: Author.
  6. Campbell, S. E., Avenell, A., & Walker, A. E. (2002). Assessment of nutritional status in hospital in-patients. QJM: An International Journal of Medicine, 95 (2), 83-87. https://doi.org/10.1093/qjmed/95.2.83
  7. Drosler, S. E., Klazinga, N. S., Romano, P. S., Tancredi, D. J., Gogorcena Aoiz, M. A., Hewitt, M. C., et al. (2009). Application of patient safety indicators internationally: A pilot study among seven countries. International Journal for Quality in Health Care, 21 (4), 272-278. https://doi.org/10.1093/intqhc/mzp018
  8. Esposito, L. (1995). The effects of medication education on adherence to medication regimens in an elderly population. Journal of Advanced Nursing, 21 (5), 935-943. https://doi.org/10.1046/j.1365-2648.1995.21050935.x
  9. Joint Commission International. (2007). joint commission International accreditation standards for hospitals (3rd ed.). Oakbrook Terrace, IL: Author.
  10. Manchester Mental Health and Social Care Trust. (2007). Service governance and operations directorates: Admission and discharge standards for inpatient care. Manchester, UK: Author.
  11. Montana State Hospital. (2005). Montana state hospital policy and procedure: Admission policy for Montana state hospital. Warm Springs, MT: Author.
  12. National Health Service. (2009). Discharge policy for hospital patients in Fife . London, UK: Author.
  13. Shetland Hospital. (2004). Protocol on admission to hospital in Shetland. Shetland, UK: Author.
  14. The Australian Council on Healthcare Standards. (2006). The ACHS Equip 4 Guide: Part 2- standards (4th ed.). Sydney, Australia: Author.
  15. The Health Boards Executive. (2003). Admissions and discharge guidelines: Health strategy implementation project 2003. Tullamore, Offaly: Author.
  16. The Joint Commission. (2006). Comprehensive accreditation manual for hospitals: The official handbook. Oakbrook Terrace, IL: Author.
  17. The University of Texas MD Anderson Cancer Center. (2007). Continuum of care admission assessment from policy. Houston, Tx: Author.
  18. Vira, T., Colquhoun, M., & Etchells, E. (2006). Reconcilable differences: Correcting medication errors at hospital admission and discharge. Quality & Safety in Health Care, 15 (2), 122-126. https://doi.org/10.1136/qshc.2005.015347
  19. WHO Collaborating Centre for Patient Safety Solutions. (2007). Communication During Patient Hand-Overs. WHO. Retrieved December 21, 2010, from http://www.who.int/ patientsafety/solutions/patientsafety/PS-Solution3.pdf